6 board-style questions on otitis media in the PulseMD family medicine question bank — physician-reviewed, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 3-year-old boy is brought to the clinic with 2 days of right ear pain, fever of 39.1C (102.4F), and irritability. Otoscopic examination reveals a bulging, erythematous tympanic membrane with decreased mobility on pneumatic otoscopy. He has no drug allergies and has not received antibiotics in the past 30 days. What is the most appropriate treatment?
A 4-year-old boy is seen for a follow-up visit. He had acute otitis media 6 weeks ago that was treated with amoxicillin. His parents report he completed the antibiotic course and his ear pain has resolved, but they notice he frequently asks them to repeat themselves. Otoscopic examination reveals a retracted, amber-colored tympanic membrane with decreased mobility on pneumatic otoscopy bilaterally. There is no bulging, erythema, or purulent effusion. What is the most appropriate management?
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